NPIMap

Organization Active NPI

Eastside Massage Clinic, Inc.

  • Massage Therapist
  • Bellevue, WA
National Provider Identifier
1982066676
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00013518 Issued in WA
Legal business name
EASTSIDE MASSAGE CLINIC, INC.
Practice address
13555 Bel Red Rd
Suite 205
Bellevue, WA 98005-2397
Phone
(425) 455-2320
Fax
(425) 455-2473
NPI assigned
Mar 22, 2016
Last updated
Mar 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lynn A. Dalton, LMPNPI 1235353624
Title
Owner/President
Phone
(425) 455-2320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00013518 WA Primary
Massage Therapist 225700000X MA60129791 WA
Massage Therapist 225700000X MA00020094 WA
Massage Therapist 225700000X MA60204513 WA
Massage Therapist 225700000X MA60303920 WA
Massage Therapist 225700000X MA60333626 WA
Massage Therapist 225700000X

Addresses

Primary practice location

13555 Bel Red Rd
Suite 205
Bellevue, WA 98005-2397

Mailing address

13555 Bel Red Rd
Suite 205
Bellevue, WA 98005-2397
Phone (425) 455-2320

National Provider Directory

National Provider Directory

Locations

13555 NE Bel Red Rd
Ste 205
Bellevue, WA 98005
Phone (425) 455-2320

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1982066676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 BEL RED RD",
            "address_2": "SUITE 205",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052397",
            "telephone_number": "425-455-2320",
            "fax_number": "425-455-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 BEL RED RD",
            "address_2": "SUITE 205",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052397",
            "telephone_number": "425-455-2320",
            "fax_number": "425-455-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE MASSAGE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "425-455-2320",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00013518",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60129791",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00020094",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60204513",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60303920",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60333626",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.